Chapter 40, Problem 1RP

Summary Introduction

To discuss:

How and why would the student nurse respond to this situation.

Case summary:

Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.

Explanation of Solution

The student nurse cannot take direct action on the emergency room nurse; hence the student nurse personally tells the emergency room nurse outside the patient room that she should call in the IV team and to stop attempting her skills on the patient.

Summary Introduction

To discuss:

The adequacy of the skills for professional practice and what that is tell about the nurse.

Case summary:

Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.

Explanation of Solution

The nurse might be student nurse or a trainee nurse, and only the adequacy the nurse faces is that she is not still an Advanced Practice Registered Nurse (APRN), so that she can become as nurse advocate. As a nurse advocate, she can demand the rights of the patient and can implement quality care for the patient.

Summary Introduction

To discuss:

Whether to agree with the criteria of the nursing student to evaluate a successful outcome.

Case summary:

Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.

Explanation of Solution

The student nurse done corrective actions of advocating for her patient, the student nurse saw the patient was in pain. Moreover, adding more pain to the patient, the nurse showed her skills like attempting IV fluids in the patient though patient insisted on the calling a IV team.

Summary Introduction

To discuss:

Whether there is any other criteria that is appropriate to use.

Case summary:

Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.

Explanation of Solution

The only criteria that is available is to advocate for the pain who is in severe pain. Complaining of the emergency department nurse to the clinical instructor will not going to help the patient who is in the current.

Summary Introduction

To discuss:

Whether the nursing student meet the criteria? Why or why not?

Case summary:

Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.

Explanation of Solution

The student nurse certainly met her criteria as a nurse advocate who is advocating for her patient who is in pain. The student nurse as a nurse advocated, advocated with the emergency room nurse to call in the IV team to insert the IV.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for child patients like Ms. G.

Case summary:

Ms. G is a 28-year-old female patient admitted in the emergency department due to severe nausea and vomiting for past 48 hours. She had a history of Crohn’s disease and gastrointestinal problems. The patient had a bowel resection surgery one month ago, the patient seems too dehydrated. Hence, the emergency department nurse tried to start IV fluid. The nurse fails five times in attempting to insert the IV; the patient is upset over the needle pain and along with the abdominal pain. The patient tells the nurse to call an IV team to insert the IV, but the nurse took no notice and inserted the IV for sixth time with success as the patient is in tears due to the pain.

Explanation of Solution

• The nurse should try to reduce the pain in the patient and try to keep them comfortable.
• The nurse should fulfil the demands ad rights of the patient.
• The nurse should advocate on behalf of the patient to demand their rights.
• The nurse should also educated the patient about their rights and demands